ABSTRACT
We present a case of acute endocarditis due to enterococcus faecalis involving partially A2 and completely A3 (Carpentier classification) with destruction of the free margin of the mitral valve. Repair was performed by using glutaraldehyde treated porcine pericardium to replace the defect and neochordae of polytetrafluoroethylene sutured to the free margin of the pericardium to achieve competence. Intraoperative and follow-up echocardiogaphies showed no regurgitation.
Subject(s)
Endocarditis, Bacterial/complications , Mitral Valve Insufficiency/etiology , Mitral Valve Insufficiency/surgery , Pericardium/transplantation , Suture Techniques , Adult , Cardiac Surgical Procedures/methods , Chordae Tendineae/surgery , Echocardiography, Transesophageal , Endocarditis, Bacterial/microbiology , Female , Follow-Up Studies , Gram-Positive Bacterial Infections/complications , Gram-Positive Bacterial Infections/microbiology , Humans , Mitral Valve Insufficiency/diagnostic imaging , Polytetrafluoroethylene , Preoperative Care , Risk Assessment , Transplantation, Autologous , Treatment OutcomeABSTRACT
Spontaneous coronary artery dissection (SCAD) is a rare cause of acute ischemic coronary events. It is more prevalent in young women, particularly in the peripartum period. In men it is an extremely rare cause. We described the clinical course of a patient, man, presenting pain chest and ventricular malignant arrhythmias. Four days after admission the patient underwent coronary angiography, showing a large SCAD. After this, he had undergone coronary artery bypass surgery. He presented an angiography and clinical resolution and he was still asymptomatic at a 6-month clinical follow up. Pathophysiologic aspects and treatment options of spontaneous coronary artery dissection are discussed.
Subject(s)
Aortic Dissection/diagnostic imaging , Coronary Aneurysm/diagnostic imaging , Tachycardia, Ventricular/diagnostic imaging , Adult , Aortic Dissection/complications , Coronary Aneurysm/complications , Coronary Angiography/methods , Humans , Male , Men , Tachycardia, Ventricular/complicationsABSTRACT
We report a case of a 51-year-old patient with suspected prosthetic valve endocarditis. Capnocytophaga haemolytica was isolated in blood cultures and the repeated echocardiograms showed growth of vegetations and disruption of the proximal prosthetic valve suture line with progressive aortic regurgitation. The patient underwent a root debridement and replacement with a stentless bioprosthesis.
